Reverse shoulder arthroplasty is a procedure used to treat shoulder arthritis and rotator cuff tears. It works by reversing the natural ball-and-socket anatomy of the shoulder joint. Early results showed improved shoulder function and pain relief. However, complications can include scapular notching, instability, infection, and loosening. Modifications to implant design, including increased prosthetic overhang, have helped reduce scapular notching. While reverse shoulder arthroplasty can improve shoulder function in patients with rotator cuff dysfunction, long-term outcomes remain variable and reoperations are sometimes required to address complications.